Breast Augmentation: Q&A

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Subglandular of Submuscular Placement if Volume Loss From Breast Feeding?

After breastfeeding I have lost fullness on top. I want a very natural result. I saw a PS who thought I should have subglandular silicone. After researching I have seen most PS prefer submuscular. Opinions?

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7 Doctor Answers | Asked by remmy

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Breast implants above vs. below the muscle

Because implants do not blend in well with surrounding tissues at their edges the usual recommendation is to place the implants under the muscle for those who have very little body fat or breast tissue to start with. The goal is to maximize the amount of tissue between the edge of the implant & the outside world/eye. The muscle we refer to is the pectoralis major whose lower border only reaches to the nipple or above the nipple in women. Thus only somewhere between 30 & 60% of the... more

Subglandular vs. Submuscular placement of breast implants

I don't usually recommend sub-glandular (over the muscle) placement. Do your research regarding the surgeons you visit - make sure to choose a surgeon who is certified by the American Board of Plastic Surgery (not cosmetic surgery) and a member of the American Society of Plastic Surgeons. From here, you know you are selecting from qualified surgeons. Most board certified plastic surgeons would suggest sub-muscular placement for better long term results. more

Submuscular vs Subglandualr breast implants

Submuscular placement of implants generally imparts less risk for future capsular contracture and visible rippling in the upper pole of the breast where the tissue is thin. There are cases where subglandular placement may be preferred due to anatomic presentation. As such it is best that you seek the advice of an experienced Plastic Surgeon who can guide you after an examination.

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Supectoral or Subglandular implantr placement

Without photos or the ability to examine you personally the answers anyone here can give you will be a bit more generalized. When we say "subpectoral" you must understand that the muscle we place the implant under will not cover the entire implant. It is a diagonal muscle that will cover the upper and inner aspects of the implant. The lower edge that originates from the rib is usually cut to allow better positioning of the implant in the lower inner aspect of the... more

Subglandular Vs Submuscular Implants

When I first started performing augmentations virtually all implants were placed subglandular (by almost all plastic surgeons). I, and most other plastic surgeons, now place almost all of my implants below the muscle. There are several reasons. Breasts are usually softer and more naturally appearing and feeling after submuscular augmentation. I feel that there is also a bit less interference with mammogram interpretation. The downsides are more initial post-op... more

Breast augmentation after breast feeding

The issue of submuscular augmentation comes up frequently, and though most will have advantages from a submuscular implant, a few will not. Consider a breast which has a fairly loose skin envelop after breast feeding, and the goal is a more modest fill. If the implant is held under the muscle and not full enough to expand the skin envelop there will be a poor marriage between the breast and the implant, and they may not blend and flow together as one. In this instance subglandular is better,... more

Subglandular vs Submuscular Breast Implant Placement

Remmy, Breast implants can either be subglandular, completely subpectoral, or partially subpectoral. If an implant is placed subglandular, this implies the implant is below the breast gland, but above the pectoralis muscle. With this location there is less risk of "animation deformity" (meaning distortion of the implant with pectoralis contraction) but slightly greater risk of capsular contracture. A capsular contracture is thick scar tissue which forms around the breast... more

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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.